subcutaneous fat necrosis (sFN) of the newborn characteristically affects f
ull-term infants who have experienced perinatal distress, such as hypotherm
ia, obstetric trauma, or asphyxia. We report a newborn who had pallor, deep
breathing, and severe anemia immediately after birth. She developed SFN on
the fourth postnatal day, Her condition improved after blood transfusions
and the skin lesions resolved in 6 weeks. This appears to be the first repo
rt of SFN associated with anemia.